scholarly journals Barriers and facilitators of peer support work in a large psychiatric hospital: a thematic analysis

2021 ◽  
Vol 34 (3) ◽  
pp. e100521
Author(s):  
Jonathan Han Loong Kuek ◽  
Hong Choon Chua ◽  
Daniel Poremski

BackgroundPeer support workers are an important addition to the mental healthcare profession. However, much of the literature and knowledge of the peer support role is derived from western countries. This concept is relatively new in Asian countries.AimsThe study sought to improve the understanding of the barriers and facilitators of peer support work in a large psychiatric hospital in Singapore.MethodsThis study used qualitative data from a larger mixed-methods study. Thematic analysis was conducted based on the five steps recommended by Braun and Clarke (2006): (1) familiarisation of data whereby transcripts were read and reread, (2) generating initial codes, (3) searching for themes by gathering relevant codes, (4) reviewing themes and (5) defining and naming themes.ResultsFour subthemes under the broader notion of facilitators (supportive figures, defined role, opportunities for personal growth and identifying personalised coping strategies) and three subthemes under the concept of barriers (unclear role, hostility from non-peer-support-specialist staff and unsupportive working environments) were identified.ConclusionOur findings echoed those of previous studies conducted in western countries providing some evidences for the cross-cultural nature of these barriers and facilitators. However, the way their impact can be mitigated or enhanced is likely to be different owing to cultural barriers, such as the general consensus and acceptance of larger personal recovery ideologies. Further research is required in community settings to better understand the boundaries and limitations of our findings. This information will allow us to continue improving peer support worker integration in diverse mental healthcare settings.

2015 ◽  
Vol 19 (1) ◽  
pp. 12-16
Author(s):  
Emma Watson

Purpose – The purpose of this paper is to describe the experience of being a peer support worker (PSW). Design/methodology/approach – Narrative account of a one to one meeting with a peer written from the perspective of a PSW. Findings – Key reflections centre on the importance of establishing and maintaining boundaries, the role of trust, and a different understanding of what constitutes risk. Originality/value – While there is a great deal written about the theory of peer support work, little is published about PSWs experience. This paper provides important insights into the nature of peer support work.


2014 ◽  
Vol 18 (3) ◽  
pp. 116-119 ◽  
Author(s):  
Emma Watson

Purpose – The purpose of this paper is to describe the experience of being a peer support worker: a day providing training for new peer support workers. Design/methodology/approach – A reflective personal account of a day in the authors work sent as a trainer on a peer support worker training course. Findings – The critical value of co-production. Training is not about an “expert” imparting their wisdom – the answers are in the room. To provide training is to continue to learn. Research limitations/implications – One person's account of their experience of providing peer support worker training. Practical implications – Modelling that which is valued rather than simply telling people. A recovery focus must extend to colleagues as well as the people we serve. Originality/value – While there is a great deal written about the theory of peer support work, little is published about peer support workers experience. This paper provides important insights into the nature of peer support work.


2016 ◽  
Vol 20 (3) ◽  
pp. 149-152
Author(s):  
Emma Watson

Purpose – The purpose of this paper is to share the experiences and reflections of a peer support worker over the course of a day working in mental health services. Design/methodology/approach – A narrative approach has been taken to structure reflections based on the experience of returning to work after taking sick leave. Findings – Reflections are offered based on the process of returning to work and the way that this experience sheds light on personal recovery. Originality/value – This paper adds to the small number of accounts of the experiences of peer support working in mental health services and as such is highly original.


2020 ◽  
Author(s):  
Ashleigh Charles ◽  
Rebecca Nixdorf ◽  
Nashwa Ibrahim ◽  
Lion Gai Meir ◽  
Richard S Mpango ◽  
...  

BACKGROUND Initial training is essential for the mental health peer support worker (PSW) role. Training needs to incorporate recent advances in digital peer support and the increase of peer support work roles internationally. There is a lack of evidence on training topics that are important for initial peer support work training and on which training topics can be provided on the internet. OBJECTIVE The objective of this study is to establish consensus levels about the content of initial training for mental health PSWs and the extent to which each identified topic can be delivered over the internet. METHODS A systematized review was conducted to identify a preliminary list of training topics from existing training manuals. Three rounds of Delphi consultation were then conducted to establish the importance and web-based deliverability of each topic. In round 1, participants were asked to rate the training topics for importance, and the topic list was refined. In rounds 2 and 3, participants were asked to rate each topic for importance and the extent to which they could be delivered over the internet. RESULTS The systematized review identified 32 training manuals from 14 countries: Argentina, Australia, Brazil, Canada, Chile, Germany, Ireland, the Netherlands, Norway, Scotland, Sweden, Uganda, the United Kingdom, and the United States. These were synthesized to develop a preliminary list of 18 topics. The Delphi consultation involved 110 participants (49 PSWs, 36 managers, and 25 researchers) from 21 countries (14 high-income, 5 middle-income, and 2 low-income countries). After the Delphi consultation (round 1: n=110; round 2: n=89; and round 3: n=82), 20 training topics (18 universal and 2 context-specific) were identified. There was a strong consensus about the importance of five topics: <i>lived experience as an asset</i>, <i>ethics</i>, <i>PSW well-being</i>, and <i>PSW role focus on recovery</i> and <i>communication</i>, with a moderate consensus for all other topics apart from the <i>knowledge of mental health</i>. There was no clear pattern of differences among PSW, manager, and researcher ratings of importance or between responses from participants in countries with different resource levels. All training topics were identified with a strong consensus as being deliverable through blended web-based and face-to-face training (rating 1) or fully deliverable on the internet with moderation (rating 2), with none identified as only deliverable through face-to-face teaching (rating 0) or deliverable fully on the web as a stand-alone course without moderation (rating 3). CONCLUSIONS The 20 training topics identified can be recommended for inclusion in the curriculum of initial training programs for PSWs. Further research on web-based delivery of initial training is needed to understand the role of web-based moderation and whether web-based training better prepares recipients to deliver web-based peer support. CLINICALTRIAL


2015 ◽  
Vol 20 (1) ◽  
pp. 48-64 ◽  
Author(s):  
H. Alistair Bailie ◽  
Anna Tickle

Purpose – The purpose of this paper is to systematically identify, appraise and synthesise qualitative research into how working as a peer support worker (PSW) affects personal recovery. Design/methodology/approach – Ten articles were identified through a systematic search of seven databases, grey literature, reference lists, citations and contact with authors in the field. Identified articles were critically appraised and their results synthesised using metaethnography. Findings – There is potential to significantly improve the quality of the research in this field. Four categories were constructed to synthesise the findings of the reviewed studies, which demonstrated that being a PSW has the potential to be both facilitative of and detrimental to personal recovery. Research limitations/implications – The quality of existing studies varies widely. Further, high-quality research is required to specifically investigate the effects of employment as a PSW on personal recovery. Practical implications – The findings are tentative in light of the quality of the studies, but should be considered in the employment, training and ongoing support of PSWs and the services they join. Originality/value – Through its systematic methodology and appraisal of the quality of the studies reviewed, this review adds value to the literature about the effect of working as a PSW on personal recovery. It offers an original synthesis and criteria for measuring the quality of research in this field.


Author(s):  
Catherine Brasier ◽  
Helena Roennfeldt ◽  
Bridget Hamilton ◽  
Andrew Martel ◽  
Nicole Hill ◽  
...  

Author(s):  
Alexa Nossek ◽  
Anna Werning ◽  
Ina Otte ◽  
Jochen Vollmann ◽  
Georg Juckel ◽  
...  

AbstractPeer support workers (PSWs) use their experiential knowledge and specific skills to support patients in their recovery process. The aim of our study was to examine the integration and role-finding process of PSWs in adult psychiatric hospitals in Germany. We conducted open nonparticipant observations of 25 multiprofessional team meetings and 5 transregional peer support worker meetings over a period of six months. The data were analyzed using qualitative content analysis. Regarding the integration of PSWs into multiprofessional teams, we identified three subcategories: “Features of success,” “challenges” and “positioning between team and patients.” Concerning the PSWs’ roles, we developed two subcategories: “Offers” and “self-perception.” The PSWs’ specific roles within a multiprofessional mental healthcare team evolve in a process over a longer period of time. This role-finding process should be supported by a framework role description which leaves sufficient freedom for individual development. Regular opportunities for mutual exchange among PSWs can help to address specific support needs at different points in time.


Psychosis ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 128-137
Author(s):  
Helen J. Wood ◽  
Susan Brown Padilla

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